How much rates vary
Facilitymedian $155 · 10th to 90th $66 to $3,388Professionalmedian $91 · 10th to 90th $28 to $145
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $107.15 Median $1,995.26 Typical High $7,943.28 | Facility | None | $107.15 | $1,995.26 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $91.20 Typical High $117.49 | Professional | None | $27.54 | $91.20 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $19.95 Typical High $53.70 | Professional | 52 · Reduced service | $13.49 | $19.95 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $8.13 Typical High $21.38 | Professional | 53 · Discontinued | $5.37 | $8.13 | $21.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.95 Median $30.20 Typical High $81.28 | Professional | 54 · Surgery only | $19.95 | $30.20 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.07 Median $6.03 Typical High $16.22 | Professional | 55 · Aftercare only | $4.07 | $6.03 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $4.07 Typical High $10.72 | Professional | 56 · Pre-op care only | $2.69 | $4.07 | $10.72 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,511.89 Median $2,570.40 Typical High $56,234.13 | Facility | None | $2,511.89 | $2,570.40 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $104.71 Typical High $190.55 | Facility | None | $50.12 | $104.71 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $93.33 Typical High $165.96 | Professional | None | $30.90 | $93.33 | $165.96 |
Emblem Health Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $173.78 | Professional | None | $169.82 | $169.82 | $173.78 |
Geisinger Setting Facility Modifier None Typical Low $87.10 Median $109.65 Typical High $190.55 | Facility | None | $87.10 | $109.65 | $190.55 |
Geisinger Setting Professional Modifier None Typical Low $33.11 Median $97.72 Typical High $165.96 | Professional | None | $33.11 | $97.72 | $165.96 |
Highmark BCBS Setting Facility Modifier None Typical Low $0.50 Median $724.44 Typical High $1,995.26 | Facility | None | $0.50 | $724.44 | $1,995.26 |
Martin's Point Setting Facility Modifier None Typical Low $107.15 Median $1,995.26 Typical High $6,606.93 | Facility | None | $107.15 | $1,995.26 | $6,606.93 |
Martin's Point Setting Professional Modifier None Typical Low $27.54 Median $91.20 Typical High $117.49 | Professional | None | $27.54 | $91.20 | $117.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $19.95 Typical High $53.70 | Professional | 52 · Reduced service | $12.88 | $19.95 | $53.70 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $8.13 Typical High $21.38 | Professional | 53 · Discontinued | $5.13 | $8.13 | $21.38 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $19.50 Median $30.20 Typical High $81.28 | Professional | 54 · Surgery only | $19.50 | $30.20 | $81.28 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $6.03 Typical High $16.22 | Professional | 55 · Aftercare only | $3.89 | $6.03 | $16.22 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $4.07 Typical High $10.72 | Professional | 56 · Pre-op care only | $2.57 | $4.07 | $10.72 |
Oscar Health Setting Professional Modifier None Typical Low $47.86 Median $51.29 Typical High $213.80 | Professional | None | $47.86 | $51.29 | $213.80 |
UPMC Health Plan Setting Facility Modifier None Typical Low $27.54 Median $977.24 Typical High $1,949.84 | Facility | None | $27.54 | $977.24 | $1,949.84 |
UPMC Health Plan Setting Professional Modifier None Typical Low $27.54 Median $95.50 Typical High $144.54 | Professional | None | $27.54 | $95.50 | $144.54 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,698.24 | Facility | None | $77.62 | $158.49 | $1,698.24 |
United Setting Professional Modifier None Typical Low $28.84 Median $64.57 Typical High $154.88 | Professional | None | $28.84 | $64.57 | $154.88 |
Where Pennsylvania sits
The same service costs 5.4 times more in Wisconsin than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 35th of 51
$95.50
WI $209HI $38.90
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.